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Nebraska rates for HCPCS L2112

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.20 / $335.20 / $335.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $335.20 / $335.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.97 / $508.17 / $513.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $578.17 / $578.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.44 / $578.17 / $891.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.54 / $586.60 / $2,802.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.12 / $262.22 / $437.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.50 / $578.17 / $798.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.74 / $692.96 / $1,191.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.11 / $262.22 / $395.00